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Individual

MARIE B WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
18645 W WARREN AVE, SVS VISION INC, DETROIT, MI 48228
(313) 240-7551
(313) 240-8621
Mailing address
140 MACOMB, MT CLEMENS, MI 48043
(586) 468-7370
(586) 464-1472

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002627
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
944737405
MI
Enumeration date
01/25/2007
Last updated
08/19/2009
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